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Clinical follow\u2010up was performed at minimum 1\u2010year postoperatively, and PROMs were collected at the latest follow\u2010up (minimum 2 years\u2019 postoperatively). Continuous variables were reported in median with interquartile range (IQR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 20 patients (41.4 [28.5\u201047.9] years of age) with grade III sMCL injury and additional injury to 1 cruciate ligament (KDI\u2010M; n\u00a0= 13) or bicruciate (KDIII\u2010M; n\u00a0= 7) were enrolled with a median follow\u2010up of 4.3 (3.6\u20105.2) years. In total, 90% (n\u00a0= 18) of patients with MLIK treated with acute sMCL repair and early range of motion rehabilitation protocol demonstrated negative valgus laxity stress testing in 0 and 30\u00b0 flexion and low reoperation rates (n\u00a0= 1, 5%) due to stiffness. In addition, good\u2010to\u2010excellent subjective outcomes were reported at final follow\u2010up: median International Knee Documentation Committee 82.2 (78.7\u201090.8), Lysholm 95.0 (90.0\u2010100.0), modified Cincinnati Score 89.0 (83.3\u201096.0), Single Assessment Numeric Evaluation 90.0 (83.8\u201095.0), Forgotten Joint Score 79.2 (62.5\u201091.7), Tegner 5.0 (IQR 4.0\u20106.0), and ACL\u2010Return to Sport after Injury Scale 78.3 (IQR 66.7\u201090.0).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this study, 20 heterogenous patients with MLIKs treated with acute percutaneous sMCL repair with SA had excellent stability, low rates of postoperative stiffness, and good\u2010to\u2010excellent PROMs at short\u2010term follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, therapeutic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2023.100799","type":"journal-article","created":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T16:58:46Z","timestamp":1696438726000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"title":["Acute Percutaneous Repair of Medial Collateral Ligament With Suture Augmentation in the Multiligamentous Injured Knee Results in Good Stability and Low Rates of Postoperative Stiffness"],"prefix":"10.1002","volume":"5","author":[{"given":"Kurt","family":"Holuba","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Hospital for Special Surgery New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Rilk","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hospital for Special Surgery New York New York U.S.A."},{"name":"Medical University of Vienna Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harmen D.","family":"Vermeijden","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hospital for Special Surgery New York New York U.S.A."},{"name":"Department of Orthopaedic Surgery Amsterdam UMC location University of Amsterdam Amsterdam the Netherlands"},{"name":"Amsterdam Movement Sciences, Sports Amsterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"O\u2019Brien","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hospital for Special Surgery New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jelle P.","family":"van der List","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hospital for Special Surgery New York New York U.S.A."},{"name":"Department of Orthopaedic Surgery Amsterdam UMC location University of Amsterdam Amsterdam the Netherlands"},{"name":"Amsterdam Movement Sciences, Sports Amsterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory S.","family":"DiFelice","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hospital for Special Surgery New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,10,4]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200303000-00008"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s007760070007"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516685312"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4575-x"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508324969"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-018-5237-3"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354658301100602"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.1.000007"},{"key":"e_1_2_2_10_2","article-title":"Nonoperative management, repair, or reconstruction of the medial collateral ligament in combined anterior cruciate and medial collateral ligament injuries\u2014which is best? 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